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Father Absence and Teen Pregnancy Survey Thank you for taking the time to read and to fill out this survey. My name is Sarah Franklin, my colleagues Laura Von Gunten and Nallia Burns and I are conducting research about the participation of fathers in the lives of their daughters. We want to find out if the participation level of that father relates to teen pregnancy in the daughter. We are master’s students in Social Work at East Carolina University and plan to use this information to create new programs for teen mothers and fathers. Demographic Information: Please provide one answer per question unless otherwise stated: |
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| 2.How old were you when you had your first child? |
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| 3.How many children do you currently have? |
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| 4.What is your marital status? |
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| 5.What is your current age? |
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| 6.What is the highest level of education you have completed? |
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| 7.Are you currently a student? |
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| 8.Are you currently working? |
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| 10.What is your main source of financial support? |
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| 11.Do you receive assistance from any of the following sources? (Please check all that apply) |
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| 12.What is your current income? |
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| 13.How would you classify where you live currently? |
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| 14.What is the highest education level your mother has completed? |
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| 15.What is the highest education your father has completed? (if known) |
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| 16.How old was your mother at the time of your birth? |
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| 17.How old was your father at the time of your birth? |
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| 18.What was your parent’s relationship status at the time of your birth? |
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| 19.During your childhood, was there a father figure in your household? |
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| 21.What was your relation to the father figure? |
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| 22.How would you rate your childhood relationship with the father figure? |
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| 23.How would you rate the involvement of the father figure in your childhood? |
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| 24.How long did your father figure live with you? |
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| 25.Did your relationship with your father affect your sexual decision making? |
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| 26.Did you feel like your father would be disappointed in you if he were to find out that you had sex with a date or boyfriend? |
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| 27.Who was the most involved person involved with your child rearing? (check all the apply) |
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| 28.How would you classify where you were raised? |
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| 29.How would you rate your self-esteem growing up? |
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| 30.What age did you become sexually active? |
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| 31.What age did you become pregnant? |
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| 32.What factors do you think contributed to you becoming a teen mother? (Please select all that apply) |
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| 33.Of the previous factors, which would you rate as the most influential? |
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| 34.How would you rate the importance of a father figure to an individual’s self esteem? |
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| 35.How would you rate the importance of a father figure to an individual’s confidence? |
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| 36.How would you rate the importance of a father figure to a teenager’s decision to engage in sex? |
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| 37.What is your relationship with your baby’s father? |
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| 38.What age were you when there became an absence or lack or father figure? |
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| 39.Why was your father figure absent? |
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| 40.How would you rate the absence of your father figure in regards to your decision to become sexually active? |
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| 41.Do you feel that if a father figure been more involved in your life, that your decision to be a teen parent would be different? |
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